D5212 Medicaid reimbursement rate by state (2026)
Dental services. Medicaid pays a median of $595.40 for D5212 across 46 states, from $165.73 in Florida to $1,639.50 in Delaware.
- States publishing
- 46
- National median
- $595.40units vary by state
- Lowest
- $165.73Florida
- Highest
- $1,639.50Delaware
What does Medicaid pay for D5212?
46 state Medicaid programs publish a fee-for-service rate for D5212. The national median is $595.40 (units differ between states). Delaware pays the most, $1,639.50, and Florida the least, $165.73, a 9.9x spread.
D5212 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 46 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for D5212?
It depends on the state. Of the 46 states with a published fee-for-service rate, the median is $595.40. Delaware pays the most ($1,639.50) and Florida the least ($165.73).
Which state pays the highest Medicaid rate for D5212?
Delaware, at $1,639.50, effective 2026-04-01.
Do managed-care plans pay the same rate for D5212?
Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The workspace shows the rule for each state, cited to the contract or statute.